Beaver E Eller, FNP-BC, AGACNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-1621A Issued in ID

Practice address

520 N 3Rd Ave
Sandpoint, ID 83864-1507

Phone

(208) 263-0649

Fax

(208) 265-6743

NPI assigned

May 9, 2013

Last updated

Mar 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beaver.eller@bgh.gwaydirect.com
• Direct secure messaging: beller330904@direct.multicare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Indigo Idaho Services, LLC

  • Family Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1821799263

  Nurse Practitioner

  Medicare reassignment NPD
• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Medicare reassignment
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba MultiCare Immediate Clinic

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1750833844

  Nurse Practitioner

  NPD
• Emergency Physicians PC

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1912955360
  NPD (past)
• Multicare Health System

  dba Auburn MultiCare Clinic

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195

  Nurse Practitioner

  NPD (past)
• Rockwood Clinic PS

  dba Rockwood Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1912252693
  NPD (past)
• St. John's Lutheran Hospital, Inc.

  dba Cabinet Peaks Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Libby, MT
  • NPI 1588720882
  NPD (past)
• Tennessee Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1134177686
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1760827372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 MT HIGHWAY 200",
            "city": "TROUT CREEK",
            "state": "MT",
            "postal_code": "598749540",
            "telephone_number": "406-334-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 3RD AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641507",
            "telephone_number": "208-263-0649",
            "fax_number": "208-265-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "BEAVER",
        "middle_name": "E",
        "credential": "FNP-BC, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP6085682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "22NP01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "1251200",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GU",
            "license": "22R030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1621A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Ronald Dunn, M.D.
• Michael George Durnin, DDS
• Wesley A Dustman
• Krisanne Edgcomb
• Caitlyn Elikh, OTR/L
• Jennifer Lynn Ellison, LPC
• Mallorie Ely, LCSW
• Embodied Virtue
• Aidan Paul Emerson, LMT
• Kelly Jo Emerson, LMT

• Family Nurse Practitioner in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.